Alzheimer's Disease Clinical and Research Program, Boston University School of Medicine, Boston, MA 02118-2526, USA.
Arch Phys Med Rehabil. 2010 Apr;91(4):584-8. doi: 10.1016/j.apmr.2009.11.020.
To examine differences in lower-extremity function in cognitive healthy older persons, older persons with mild cognitive impairment (MCI), and older persons with Alzheimer's disease (AD).
Descriptive study.
University Alzheimer's disease clinical and research program.
Older persons (N=66) were studied (mean age, 76.7y); 22 were cognitively normal, 22 were diagnosed with probable MCI, 22 were diagnosed with probable AD.
Not applicable.
Lower-extremity function was assessed by the four-meter walk test (4MWT), Timed Up & Go (TUG) test, and sit-to-stand (STS) test.
Analysis of variance, adjusting for covariates, revealed that performance on the 4MWT was significantly lower in the MCI and AD groups as compared with controls. TUG test performance was worse in the AD group compared with controls. No significant group differences were found for STS performance.
These results suggest an association between cognitive impairment and lower-limb function in older persons. Walking speed could be evaluated for its possible utility in screening older persons at risk for cognitive impairment and falls.
研究认知健康老年人、轻度认知障碍(MCI)老年人和阿尔茨海默病(AD)老年人下肢功能的差异。
描述性研究。
大学阿尔茨海默病临床和研究计划。
研究了 66 名老年人(平均年龄 76.7 岁);22 名认知正常,22 名被诊断为可能的 MCI,22 名被诊断为可能的 AD。
不适用。
下肢功能通过 4 米步行测试(4MWT)、计时起立行走测试(TUG)和坐站测试(STS)进行评估。
方差分析,调整协变量后,发现 MCI 和 AD 组的 4MWT 表现明显低于对照组。AD 组的 TUG 测试表现比对照组差。STS 表现无显著组间差异。
这些结果表明认知障碍与老年人下肢功能之间存在关联。步行速度的评估可能有助于筛查认知障碍和跌倒风险较高的老年人。